Individual provider · Type 1 NPI

Jonathan Charles Blankenship

Marriage & Family Therapist · Angels Camp, CA

NPI number 1053055301 Active

Practice location

520 N Main St Ste 101
Angels Camp, CA 95222-9607

Mailing address

PO Box 456
Altaville, CA 95221-0456

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X37006 (CA)
Marriage & Family Therapist Primary 106H00000X37006 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1053055301

Jonathan Charles Blankenship's National Provider Identifier is 1053055301, issued on Apr 22, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Angels Camp, CA. The record was last updated on Apr 29, 2022.